| NPI | 1073075941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022524) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209018615) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-02-24 |